Development of macaronic Hindi-English ‘Hinglish’ text message content for a coronary heart disease secondary prevention programme

Thakkar, Jay; Karthikeyan, Ganesan; Purohit, Gaurav; Thakkar, Swetha; Sharma, Jitender; Verma, Sunilkumar; Parakh, Neeraj; Seth, Sandeep; Mishra, Sundeep; Yadav, Rakesh Kumar; Singh, Sandeep; Joshi, Rohina; Thiagalingam, Aravinda; Chow, Clara K; Redfern, Julie

doi:10.1136/heartasia-2016-010789

Cited by 13 publications

(9 citation statements)

References 18 publications

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“…Key activities covered included patient consultations, remote diagnosis, and follow-up through videoconferencing. Mobile phones were primarily used for treatment adherence reminders (text and Interactive Voice Response), appointment reminders, and behavior change messaging (n=8) [ 18 , 21 , 28 - 33 ]. Development process was described in 21 articles, 32 articles reported utility [ 16 - 25 , 30 , 31 , 34 - 57 ], and 20 articles reported user acceptability of the initiative [ 28 , 32 , 33 , 58 - 74 ].…”

Section: Resultsmentioning

confidence: 99%

“…Mobile phones were primarily used for treatment adherence reminders (text and Interactive Voice Response), appointment reminders, and behavior change messaging (n=8) [ 18 , 21 , 28 - 33 ]. Development process was described in 21 articles, 32 articles reported utility [ 16 - 25 , 30 , 31 , 34 - 57 ], and 20 articles reported user acceptability of the initiative [ 28 , 32 , 33 , 58 - 74 ]. Other aspects explored were technology-related perception of the end users (n=13) [ 29 , 75 - 85 ], patient satisfaction (n=2) [ 86 , 87 ], assessment of health care professional needs, and challenges related to health service delivery using IT (n=2) [ 88 , 89 ].…”

Section: Resultsmentioning

confidence: 99%

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Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review

Bassi¹,

John²,

Praveen³

et al. 2018

JMIR Mhealth Uhealth

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BackgroundWith the exponential increase in mobile phone users in India, a large number of public health initiatives are leveraging information technology and mobile devices for health care delivery. Given the considerable financial and human resources being invested in these initiatives, it is important to ascertain their role in strengthening health care systems.ObjectiveWe undertook this review to identify the published mobile health (mHealth) or telemedicine initiatives in India in terms of their current role in health systems strengthening. The review classifies these initiatives based on the disease areas, geographical distribution, and target users and assesses the quality of the available literature.MethodsA search of the literature was done to identify mHealth or telemedicine articles published between January 1997 and June 2017 from India. The electronic bibliographic databases and registries searched included MEDLINE, EMBASE, Joanna Briggs Institute Database, and Clinical Trial Registry of India. The World Health Organization health system building block framework was used to categorize the published initiatives as per their role in the health system. Quality assessment of the selected articles was done using the Cochrane risk of bias assessment and National Institutes of Health, US tools.ResultsThe combined search strategies yielded 2150 citations out of which 318 articles were included (primary research articles=125; reviews and system architectural, case studies, and opinion articles=193). A sharp increase was seen after 2012, driven primarily by noncommunicable disease–focused articles. Majority of the primary studies had their sites in the south Indian states, with no published articles from Jammu and Kashmir and north-eastern parts of India. Service delivery was the primary focus of 57.6% (72/125) of the selected articles. A majority of these articles had their focus on 1 (36.0%, 45/125) or 2 (45.6%, 57/125) domains of health system, most frequently service delivery and health workforce. Initiatives commonly used client education as a tool for improving the health system. More than 91.2% (114/125) of the studies, which lacked a sample size justification, had used convenience sampling. Methodological rigor of the selected trials (n=11) was assessed to be poor as majority of the studies had a high risk for bias in at least 2 categories.ConclusionsIn conclusion, mHealth initiatives are being increasingly tested to improve health care delivery in India. Our review highlights the poor quality of the current evidence base and an urgent need for focused research aimed at generating high-quality evidence on the efficacy, user acceptability, and cost-effectiveness of mHealth interventions aimed toward health systems strengthening. A pragmatic approach would be to include an implementation research component into the existing and proposed digital health initiatives to support the generation of evidence for health systems strengthening on strategically important outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review

Bassi¹,

John²,

Praveen³

et al. 2018

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“…There is evidence indicating that SMS is an acceptable and effective way to increase nutrition knowledge, promote positive diet-related behavior, and could encourage healthier food choices among students (11). For example, in the study of [48], the use of text messaging as an intervention to educate students on diet and coronary heart disease risk proved to have a positive impact on whole-grain consumption and high-density lipoprotein cholesterol. More than 90% of the study participants also indicated that a large proportion of SMS that they received were centered on reproductive and sexual health issues.…”

Section: Discussionmentioning

confidence: 99%

Mobile Phones Facilitation of Health Promotion and Disease Prevention Initiatives: Health Students Initial Perspectives

Barfi¹,

Nsiah‐Asamoah²,

Twum³

et al. 2021

Preprint

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Students are regarded as frequent users of mobile phones which has proven to be a convenient and acceptable method to promote healthy lifestyle. Students usually engage in relatively high levels of risky behavior and make unhealthy lifestyle choices, a study that investigates how health students access health information is necessary. The study adopted a descriptive cross-sectional study which was undertaken among third-year nursing students from three nurses training institutions in Ghana. A total of 270 students participated in the study. Most of the respondents who were currently subscribers of the health messages reported that they usually received health information on reproductive health issues, nutrition, and practicing safe sex. Most of the health students revealed that they needed more information on safe sex, diet, managing weight, and stress management. The results also show that health students are likely to remember and share short messages with friends. The findings serve as an ‘eye-opener’ for health educators and mobile service providers concerning factors that should be taken into consideration when framing health text messages that will attract health students.

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“…The team running these projects comprised of highly motivated researchers and academics with clinical and technical knowledge, which facilitated smooth delivery while keeping the overheads low. We also desired to deliver multiple similar trials varying by time zone, locations, and message customization [27]. …”

Section: Discussionmentioning

confidence: 99%

Design Considerations in Development of a Mobile Health Intervention Program: The TEXT ME and TEXTMEDS Experience

Thakkar¹,

Barry²,

Thiagalingam³

et al. 2016

JMIR Mhealth Uhealth

Self Cite

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BackgroundMobile health (mHealth) has huge potential to deliver preventative health services. However, there is paucity of literature on theoretical constructs, technical, practical, and regulatory considerations that enable delivery of such services.ObjectivesThe objective of this study was to outline the key considerations in the development of a text message-based mHealth program; thus providing broad recommendations and guidance to future researchers designing similar programs.MethodsWe describe the key considerations in designing the intervention with respect to functionality, technical infrastructure, data management, software components, regulatory requirements, and operationalization. We also illustrate some of the potential issues and decision points utilizing our experience of developing text message (short message service, SMS) management systems to support 2 large randomized controlled trials: TEXT messages to improve MEDication adherence & Secondary prevention (TEXTMEDS) and Tobacco, EXercise and dieT MEssages (TEXT ME).ResultsThe steps identified in the development process were: (1) background research and development of the text message bank based on scientific evidence and disease-specific guidelines, (2) pilot testing with target audience and incorporating feedback, (3) software-hardware customization to enable delivery of complex personalized programs using prespecified algorithms, and (4) legal and regulatory considerations. Additional considerations in developing text message management systems include: balancing the use of customized versus preexisting software systems, the level of automation versus need for human inputs, monitoring, ensuring data security, interface flexibility, and the ability for upscaling.ConclusionsA merging of expertise in clinical and behavioral sciences, health and research data management systems, software engineering, and mobile phone regulatory requirements is essential to develop a platform to deliver and manage support programs to hundreds of participants simultaneously as in TEXT ME and TEXTMEDS trials. This research provides broad principles that may assist other researchers in developing mHealth programs.

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Development of macaronic Hindi-English ‘Hinglish’ text message content for a coronary heart disease secondary prevention programme

Cited by 13 publications

References 18 publications

Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review

Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review

Mobile Phones Facilitation of Health Promotion and Disease Prevention Initiatives: Health Students Initial Perspectives

Design Considerations in Development of a Mobile Health Intervention Program: The TEXT ME and TEXTMEDS Experience

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